Materials
The platycodon secondary saponins (PSS) GP-682 and GPA-696 used in this work were synthesized in our laboratory. N, N-dimethylformamide (DMF) was purchased from Concord Technology Co., Ltd. (Tianjin, China). Nile Red, 9-diethylamino-5H-benzo [alpha] phenoxazine-5-one, was purchased from Aladdin (Beijing, China). FITC was purchased from MedChemexpress (New Jersey, USA). The Cytotoxicity Detection Kit (LDH Activity) was purchased from Roche (Basel, Switzerland). Glutaraldehyde (2.5%) was purchased from GenMed Scientific Inc. (MA, USA). Levofloxacin, one of the broad-spectrum antibiotics of quinolone, and terazosin hydrochloride was purchased from Shanghaiyuanye Bio-Technology Co., Ltd. (Shanghai, China). The Pseudomonas aeruginosa PA 14 strain was obtained from associate professor Bai Fang of Nankai University (Tianjin, China). Pseudomonas aeruginosa antibody (1001/214) [Alexa Fluor® 488] was purchased from Bio-Techne China Co. Ltd. (Shanghai, China). The concentrations of human IL-6, IL-8 and TNF-α were detected using ELISA kits according to the manufacturer's instructions (Lanpai, Shanghai, China). All cell culture reagents were purchased from Gibco BRL Life Technologies (NY, USA).
Separation and purification of PSS
The PSS of GP-682 and GPA-696 were isolated and purified from a total saponin extract of Radix platycodonis[24]. The preparation process was based on our previously published paper[25]. The purified PSS was identified using HPLC and NMR methods. The detailed data are shown in the Additional file 1 (Fig. S1-S9)
Preparation and characterization of PSS micelles
GP-682 (0.05-4.00 mg) and GPA-696 (0.2 mg) were dissolved in 400 µL of DMF solvent and configured as 0.125 mg/mL to 10 mg/mL solutions. The solution was slowly dropped into 2 mL of pure water under ultrasonic conditions (200 W, SB-25-12DT ultrasonic oscillator, Ningbo Xinzhi Biotechnology Co., Ltd.). After DMF was removed via dialysis against 5Χ 250 mL water for 12 h, the micelle solution was filtered through a 0.45-µM microporous filter membrane (MCE syringe filter) to obtain a self-assembled micellar solution of PSS. The solution was collected and freeze-dried to obtain the PSS micelles. A Zetasizer (Nano ZS, Malvern Co. Ltd, UK) was used to analyze the particle size, size distribution and the zeta-potential of GP-682 micelles. The morphology of GP-682 micelles was observed using TEM (Talos F200C, FEI, USA).
The stability of GP-682 micelles in the presence of RPMI 1640 with FBS was evaluated using dynamic light scattering (DLS). GP-682 micelles were incubated in RPMI 1640 with 10% FBS at 37 °C for different time points, then the stability of GP-682 micelles was detected using DLS. Fluorescence spectrophotometry was applied to determine the critical micelle concentration (CMC) value of GP-682 micelles with Nile Red as a probe[26]. GP-682 micelle solutions at concentrations from 0.1 to 1000 µg were prepared. Nile Red (10 µL) in tetrahydrofuran (THF) was added to 1 mL of GP-682 micelle solutions. The final concentration of Nile Red was 10− 6 mol/L. After sonication for 30 min, the fluorescence emission spectra were measured at 560–700 nm with an excitation wavelength of 550 nm. Emission intensity at 633 nm was plotted against the log of GP-682 concentration.
Cell culture
Human normal lung epithelial cells (BEAS-2B cells) were purchased from American Type Culture Collection (Rockville, MD) and cultured in RPMI medium 1640 containing 10% FBS, 4.5 g/L glucose, L-glutamine and sodium pyruvate. The cells were cultured at 37 °C with 5% CO2 in a humidified incubator.
Investigation of membrane permeability
BEAS-2B cells were cultured in small confocal dishes. When the cells achieved approximately 80% confluence, different concentrations of GP-682 micelles (0-100 µg/mL) were cocultured with cells for 30 min before 1 × 10− 6 mol/L FITC was added. A confocal microscope (Leica TCS SP8) was used to dynamically investigate the entry of FITC into the cells. The excitation wavelength was 488 nm, and the emission wavelength was 600 nm. The cells cultured with GP-682 micelles and FITC were also collected for flow cytometry analysis (BD FACSCalibur System). The excitation wavelength was 490 nm, and the emission wavelength was 530 nm. BEAS-2B cells were also cultured with 100 µg/mL GP-682 micelles for different durations to detect a suitable working time for GP-682 micelles.
Lactate Dehydrogenase (LDH) release assay
BEAS-2B cells were seeded in 200 µL of RPMI 1640 medium with 10% FBS in NUNC 96-well plates. The medium was removed after 48 h, and cells were added with 100 µg/mL GP-682 micelles in RPMI 1640 medium without FBS (serum contains natural LDH activity) for 30 min. The supernatant (100 µL) was collected after these incubations. A mixture of diaphorase/NAD+ and iodotetrazolium chloride (100 µL) was added to each well. After 1 h at room temperature in the dark, the absorbance was tested at 500 nm (Spark 10M, TECAN, CH).
Morphological observations using TEM
BEAS-2B cells were cultured in a 10-cm cell culture dish. When the cells grew to 80% confluence, GP-682 micelles of 100 µg/mL were added to the cells and cultured at 37 °C for 30 min. BEAS-2B cells without any treatment were used as the control group. The cells were collected and digested with plasma enzymes. Cells were centrifuged at 1000 rpm for 10 min the supernatant was discarded, and cells were washed with precooled normal saline. Cells were centrifuged again, and the supernatant was discarded. The cells were resuspended in 1 mL of 2.5% precooled glutaraldehyde in sodium cacodylate buffer (0.1 M, pH 7.3) as a fixative for 24 h. The cells were desiccated to the critical point and shadowed with platinum. TEM (TecnaiG220, FEI, USA) was used to observe the cells.
Preparation and assay of GP-682/Nile Red micelles
The GP-682/Nile Red micelles were prepared using the same ultrasound method as GP-682 micelle preparation. The proportion of GP-682 to Nile Red was 10:1. Different forms of Nile Red were prepared, including Nile Red dissolved in 0.1% DMSO and GP-682/Nile Red micelles. The final concentration of Nile Red added to cells was identical (1 µg/mL). BEAS-2B cells were cultured in small confocal dishes and divided into three groups: Nile Red group, GP-682/Nile Red micelles group and GP-682 micelles + Nile Red group. In the Nile Red and GP-682/Nile Red micelles groups, the cells were treated with Nile Red or GP-682/Nile Red micelles only. In the GP-682 micelles + Nile Red group, cells were treated with 100 µg/mL GP-682 micelles for 30 min in advance, and the same dose of Nile Red (1 µg/mL) was added. A confocal microscope (Leica TCS SP8) was used to investigate the entry of Nile Red into the cells. The excitation wavelength was 561 nm, and the fluorescence emission spectra were measured at 580–700 nm.
Distribution analysis of lung tissue using HPLC
Ten male Kunming mice (18–22 g) of SPF grade were purchased from Beijing Vital River Laboratory Animal Technology Co., Ltd. After one week of regular rearing, the mice were fasted for 12 h before the experiment. The mice were randomly divided into two groups: the levofloxacin administration group (80 mg/kg), and GP-682 micelles (5 mg/kg) preadministration for 30 min before levofloxacin administration (80 mg/kg) group. The administration method was intraperitoneal injection. The mice were sacrificed at 0.08, 0.25, 0.5, 1.0, 1.5 and 2 h after levofloxacin injection. The lung tissue of the mice was separated after rinsing with normal saline via heart perfusion. One gram of the lung tissue was homogenized with 3 times normal saline buffer. After centrifugation at 3,000 rpm for 10 min, 100 µL of the supernatant was added to 100 µL of an internal standard solution (50 µg/mL terazosin hydrochloride methanol solution) followed by 200 µL of methanol. The solution was mixed thoroughly by vortexing and centrifuged at 10,000 rpm for 15 min. The supernatant (320 µL) was removed and blow-dried with nitrogen. The residue was reconstituted with the addition of 100 µL of methanol and centrifuged at 10,000 rpm for 15 min. The content of levofloxacin in the supernatant was determined using high-performance liquid chromatography (HPLC). The HPLC method was performed in a Shimadzu HPLC (lc-20a) coupled with a fluorescence detector (RF-20A, Shimadzu, Japan). The following chromatographic conditions were used: column, phenomenex Luna C18 (150 mm × 4.6 mm, 5 µm); mobile phase, 10 mmol/L phosphate buffer (containing 0.01% triethylamine, pH 3) - acetonitrile (82:18); flow rate, 1 mL/min; excitation wavelength, 295 nm, emission wavelength, 490 nm; column temperature: 35 °C; and injection volume, 20 µL. Graphpad Prism 8 was used for data processing and analyses. The methodological investigation is detailed in the Additional file 1 (Fig. S10-S11, table 1–3).
Acute lung injury model
Male KM mice (18–22 g) were purchased from Beijing Vital River Laboratory Animal Technology Co., Ltd. Mice were housed under standard specific pathogen-free conditions with 12/12-h light/dark cycles at 23 ± 2 °C and free access to water and food. A total of 105 mice were randomly divided into seven groups (15 mice per group): Model group (Mod); GP-682 micelles group (5 mg/kg GP-682 micelles); levofloxacin administration groups (Lev-H, 52 mg/kg levofloxacin; Lev-M, 26 mg/kg levofloxacin; Lev-L, 13 mg/kg levofloxacin); and GP-682 micelles preadministration for 30 min groups (GP-682 micelles + Lev-M, 5 mg/kg GP-682 micelles + 26 mg/kg levofloxacin; GP-682 micelles + Lev-L, 5 mg/kg GP-682 micelles + 13 mg/kg levofloxacin). Mice were anesthetized via an intraperitoneal injection of a 4% chloral solution (4 µL/g). Activated P. aeruginosa PA 14 bacteria (1 × 108/20 µL in PBS) were dropped into the nasal cavity to induce an acute lung infection. The mice were immediately given an antibiotic intervention, except in the Model and GP-682 micelles group. Survival was recorded 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 h after challenge with the PA-14 bacteria.
Another 48 mice were divided into eight groups, as describe in the survival experiment, except one control group (Con) was added. A mild infection model was used to investigate the effect of combination therapy. Activated PA 14 bacterium was used at 1 × 107/20 µL in PBS for nasal cavity infection. Mice were anesthetized 24 h later via inhalation of ether. Bronchoalveolar lavage (right lung) was performed via the instillation of 1 mL of 0.9% saline through a tracheal cannula, and the fluid was collected for cytokine assays. The left lung tissues of mice were eviscerated and fixed in a formaldehyde solution (10%) for hematoxylin-eosin (H&E) staining and bacterial immunofluorescence detection.
Statistical analysis
The results were reported as the mean values ± SD. Analysis of multiple groups was performed using analysis of variance (One-way ANOVA), and significant differences between two groups were assessed using t-tests. The significant differences in survival rate experiment was analyzed by Log-rank text. Differences of p < 0.05 were considered statistically significant.